DWIGHT L BLAKELY Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001186

License Status

INACTIVE

Business

First Name

DWIGHT L

Last Name

BLAKELY

Business Name

DWIGHT L BLAKELY

Original Issue Date

07/13/1933

Effective Date

07/13/1933

Expiration Date

01/31/1993

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

09/25/2006